Camp Registration - Advantage Academy of Hillsborough

Required

Camp Registration Form
Must be a registered student at a CSA school.
Bring lunch, a water bottle, and a morning snack. An afternoon snack will be offered. Camp fee must be pre-paid and ledger balance in good standing.

Student Namerequired

First Name

Last Name

Date of Birthrequired

Must contain a date in M/D/YYYY format

Email Addressrequired

Select Your Schoolrequired

Current Graderequired

Addressrequired

Daytime Phone required

Select Camp requiredSelect One

Select One

1st Emergency Contact/Authorized Pick to Pick Uprequired

Must list at least one emergency contact other than the a parent

Cell Phonerequired

Relationshiprequired

2nd Emergency Contact/Authorized Pick to Pick Up

Cell Phone

Relationship

Medical Needs/Allergies/Medications/Otherrequired

If none, please state NA

Doctor's Namerequired

Office Number

Acknowledgmentrequired

By submitting this form I understand and agree to the Edventure Parent Handbook, including discipline procedures. I understand that failure to abide by any of these policies will result in the removal of my student from the program and forfeit of current payments.

Parent/Guardian E-Signaturerequired

Today's Daterequired

Must contain a date in M/D/YYYY format